| NPI | 1982153805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 711197) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN95096034) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |